Provider Demographics
NPI:1275210882
Name:ISKRA, JULIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:ISKRA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 WEBB PL STE 200
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2454
Mailing Address - Country:US
Mailing Address - Phone:603-617-4492
Mailing Address - Fax:
Practice Address - Street 1:51 WEBB PL STE 200
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2454
Practice Address - Country:US
Practice Address - Phone:603-617-4492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04847122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist